Each year, medical errors and delivery of care mistakes harm or kill patients and cost hospitals billions of dollars.
During an audience-interactive NQF webinar in 2011 with Dr. Peter Pronovost, Medical Director of the Johns Hopkins Hospital’s Center for Innovation in Patient Care, and Victoria Nahum, Executive Director of Safe Care Campaign, it was found that only 12 percent of American hospitals participating in the call had any sort of patient safety education program in place. This should not be so.
Patient safety is a serious public health issue.
The Institute for Healthcare Improvement (IHI) estimates that 15 million incidents of medical harm occur in U.S. hospitals each year.
This estimate of overall national harm is based on IHI's extensive experience in studying injury rates in hospitals, which reveals that between 40 and 50 incidents of harm occur for every 100 hospital admissions.
With 37 million admissions in the United States each year, this equates to approximately 15 million harm events annually - or 40,000 incidents of harm in U.S. hospitals every day.
IHI defines "medical harm" as unintended physical injury resulting from or contributed to by medical care (including the absence of indicated medical treatment) that requires additional monitoring, treatment or hospitalization, or results in death.
Joshua Nahum who died of
a healthcare acquired gram negative infection in his cerebro-spinal fluid after almost 6 weeks in the ICU for a broken leg and a skull fracture.
He was 27.
In their fifth annual Patient Safety in American Hospitals Study, HealthGrades Inc. cites that errors in treatment resulted in 238,337 potentially preventable deaths of Medicare patients in the U.S., costing $8.8 billion.
HealthGrades Inc. analyzed over 41 million patient records for the study and found that approximately 3 percent of all Medicare patients suffered from some medical error - which equates to about 1.1 million Patient Safety Incidents (PSIs) from 2004 - 2006.
In the report, HealthGrades describes medical errors as, “The failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim … (including) problems in practice, products, procedures, and systems."
There were 270,491 actual hospital deaths that occurred among patients who developed one or more of 16 PSIs and the report states that using previous research, they calculated that 238,337 of these were attributable to patient safety incidents that were potentially preventable.
Consumers Union conducted a poll of more than 2,000 Americans to learn about their experiences with health care associated infections, preventable medical errors and preventive care.
Almost 1 in 5 (18%) say they or an immediate family member have experienced a dangerous infection following a medical procedure.
69% of these respondents said they had to be admitted to a hospital or extend their stay because of these infections.
1/3 of the Americans surveyed report that medical errors are common in everyday medical procedures.
13% have had their medical records lost or misplaced.
9% have been given the wrong medicine by a pharmacist when filling their doctor's prescriptions.
Almost 14 percent of hospitalized Medicare patients experienced adverse events during their hospital stays, according to a report by the Office of the Inspector General. The report also found that an additional 13.5 percent of Medicare beneficiaries experienced events during their hospital stays that resulted in temporary harm.
Physician reviewers estimate that 44 percent of all events were preventable. Preventable events were linked most commonly to medical errors, substandard care, and lack of patient monitoring and assessment. The researchers recommend greater oversight as well as financial incentives to improve care and reduce errors. (Source: The Office of the Inspector General, November 2010)
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